ATI LPN
ATI LPN Level 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the prescriptions for a newly admitted client who is to undergo cardiac testing. For which of the following procedures should the nurse verify that the client has given written informed consent?
Correct Answer: A
Rationale: Exercise ECG stress test requires informed consent because it involves physical activity that may place stress on the heart and carries certain risks, such as inducing arrhythmias or other complications.
Question 2 of 5
A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels. IV fluids, and an ECG/EKG. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Initiate oxygen therapy. The client shows signs of hypoxia (shortness of breath and cyanosis), and oxygen is crucial for stabilizing oxygen levels and preventing further deterioration of cardiac and respiratory function.
Question 3 of 5
A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
Correct Answer: C
Rationale: The ST segment is above the isoelectric line. ST-segment elevation is a hallmark sign of an acute myocardial infarction (STEMI). It reflects injury to the heart muscle.
Question 4 of 5
The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Baked turkey and salad: This is a healthy choice, as baked turkey is low in fat, and a salad provides nutrients without excessive fat or cholesterol, supporting heart health.
Question 5 of 5
A nurse is caring for a client who is postoperative following vascular surgery. Which of the following manifestations should indicate to the nurse that the client has developed a thrombus?
Correct Answer: C
Rationale: Dull, aching calf pain is a key symptom of deep vein thrombosis (DVT) and should prompt further investigation.